| NPI | 1396081600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN JOHNSON President 562-591-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA15332) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |